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Agnes Lane
NPI 1275081531 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1910 Morris Ave
Apt 1-C
Bronx, NY 10453 - Phone
- (914) 932-6402
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York